Galen College of Nursing NUR 254 All Exams (1-4) Different versions -
Complete A+ Exam Bank_ Latest Updated Summer 2026.
231, NUR 264 Exam 1 a Version &
NUR 230. NUR
changes that occur dur ng
L The nurse s preparing to teach a cient about Ihe =
pregnancy. Which of the following decreases 0f re ains unchanged?
a. Heart rale 5/)
Blood pressure. /) ’
—
C. Cardiac output o ’
d. Blood volume. v
The nurse has provided dietary teaching for a Dfeg”af“ client whoi has iron deficiency anemia { Whic
tive
of the following meal options selected by the client indicates thal teaching has been effec
Grilled steak, creamed spinach, and an apple.
o(@)
Baked chicken(breagt and macaroni salad.
Oatmeal, whole-wheat toast, and jelly.
an
Grilled cheese sandwich and tomato soup.
The nurse s caring for a client who is pregnant. The first day of the last
menstrual period (U','p: »:.'as
October 11. Using Naegele's rule, the nurse calculates the estimated date of delivery (EDD) to be
June 4.
July 4, v \%
A
a@lo
July 18, v
June 18,
The nurse is caring for a pregnant client who is recently diagnosed
with pica. Which of the following
(Hgb) levels should the nurse expect to find in the client’s chart?
a4
a. 37gdL >’
g al. =, oo
¢ 12gidL i
{0
d. 16gdL \
The nurse is caring for a client who is at 38 weeks and in a supine position
for a pelvic
examination. The client reports feeling dizzy and nauseated, and upon assessment
her skin feals
damp and cool. Which of the following actions should the nurse lake first?
Tum the client on her side.
apow
Elevale the client’s legs 20 degrees above her hips.
Take the client's(Blood pressure (BF).
Assess the client's respiratory rate (RR).
Page 2/13
, TEIN €94, NUR 254 Exam 1 a Version
a
Thr_
e "‘U S€ Is caring for a client who is a primigravida in her third trimester and is experiencing
ness of breath when walking up stairs. Which of the following statements by the nurse s
aAppr opnate?
& "You will feel much better once the baby Is born.”
/E) “This can be uncomfortable, try taking breaks and use good posture.”
“If you lie on your left side, it will relieve your shoriness of breath.”
0. ';CU should immediately report this difficulty breathing to your primary health care provider
(PHCP)."
The charge nurse is discussing probable signs of pregnancy with a newly hired nurse. Which findings
from the box below are probable signs of pregnancy?
[O/ Amenorrhea.
: 2. Braxton-Hicks contractions.
3. Hearing fetal(hean tones.
(4. Breast tenderness.
&
(¢S Positive pr ecr*a"c test.
) i, o 236
The nurse is caring for a pregnant client who is of Asian descent. Which of the following cultural
influences should the nurse consider first when providing nutritional care?
\(1,_) Food preferences and methods of preparation. fi 5@
b. The client's family and social support systems. u
c. Socioeconomic status of the client.
d. Weight gain so far in the pregnancy.
The nurse is talking 10 a client who is 18 weeks pregnant about preparing her 7-year-old daughter for
the new sibling. Which of the following recommendations is best for the nurse 1o make based on the
child’s age?
a “Wait to discuss the birth of the baby until your daughter asks about i.”
b. “Teach your daughter how to hold and talk to a baby using her lavorite doll.”
¢. “Use your pregnancy as a way to begin to discuss basic human sexuality.”
Co) “Tell your daughter the story of her own birth.”
g
:
Page 3/13
,NUR 230, NUR 231, NUR 254 Exam 1 a Version a
10 A nurse is teaching a client about symploms 1o report during her
pregnancy. Which of the following
statements by the client indicates a correct understanding of the
p teaching?
@ It I have any(vagingi(bleedin before 20 weeks, | should report it."
0. "Il report increased frequency olm dunng the third trimester.”
. “Iflfeel tired after resting, | should report it.”
d. “Iireport if | experience lower back pain during the third trimester.”
11, The nurse is caring for a client who is at 15 weeks gestation and
has an immune rubella titer. Which
of the following actions is appropriate for the nurse to take?
Convey to the client that she needs to wait until after delivery
to have an MMR vaccine.
XX -
Suggest that the client receive a rubella vaccine at
this visit,
Tell the client that she has immunity at this
time.
Plan to immunize the client when she reaches
the third trimester.
The nurse is teaching a client who is in the 10th week
of pregnancy about moming sickness. Which
of the following should the nurse include in the
teaching?
a. The degree of(nause) is linked to the mother's acceplance of
the pregnancy.
b. Drink a protein supplement first thing upon arising.
| 3 /]
<E) Alternate dry(carbohydrat} foods with fluids every
hour. \9? )
Increase the intake of protein in the evening meal
to help decrease nausea in the mom ng
13. The nurse is teaching a pregnant client about
possible complications of pregnancy. Which of
following client statements requires follow-up the
by the nurse?
@ "I will change my cat's litter box daily because
it could contain harmfu!.‘
0. "I will check my(Uring daily for any protein while at home."
€. “I'should call the clinic immadiately if | notice increa
sed edema in my ankles or feet.”
d. "I 'should notify my primary health care provide
r (PHCP) if | experience blurred vision.*
The nurse is collecting data from a client
who Is confirmed pragnant. The client
she had 1 pregnancy thal she delivered at tells the nurse that
38 weeks; 1 pregnancy she delivered at
wans; 1 pregnancy she delivered 34 weeks with
al 31 weeks; and 1 pregnancy she delive
the following is the correct way to document red at 18 weeks. Which of
the client's gravidity, term births, preterm
abortions, and living children (GTPAL)? births.
a ) G5, Tal, Pu2, Asl. Led.
D. Ge5, Tal, Pa2, Ael, La3, .. 2
o Ged, Tel, Pu3, Al L3, ~‘7§7—./ p A /
O Ged, Tal, P=2. A=1, L=4d 1
Page 4 /13
, g—
R 230, N
YUR 231, NUR 254 Exam 1 a Version a
The n :
wn
r © \UIse is caring for assigned clients. Which of the lollowing assessment findings should the nurse
eCognize as consistent with a client in the second stage of labor?
2 The(leludis at -1 statio
n.
b The membranes ruptured during a contraction. /,’5 O
o >
‘N The client has the urge o push.
2 The 18 being delivered.
o,
ent who received an epidural 10 minutes ago. The client now reports
rzintes naiatusd. idasissh a. After checking
The nurse is carin
the client's(blooyl pressure, which of the
o~
Ollowing actions should the nurse tako?
-
Q. Elevate the client's leel
Give the client an antiemetc.
Ambulate the client in the room.
d. Administer @
with a
The nurse is caring for a client who is in labor and has spontaneous rupture of membranes
of the following, if observed by the nurse, indicales CorC
arge amount of clear fluid noted. Which
compression?
a Late decelerahons.
@ Variable decelerations
c. Early decelerations
d. Fetal bradycargia.
techniques for
18 The nurse is preparing to teach a group of primipara clients about active relaxation
pain control. Which of the following statements by a chient requires follow-up by the nurse?
a. I will isten 10 an audio recording of a crying baby %o help relax me for labor."
b. “Relaxing uninvolved muscles during(utering contractions can help control the pain.”
/&y “Breathing siowly and deeply during contractions will help 10 conirol the pain.” -
¢ *I will plan to focus on an object in the room during contractions.”
18 The nurse is caring for a client whose membranes ruptured 8 hours ago. Which of the following
actions should the nurse take?
-
‘\J Check the client's temperature every 2 hours 10 assess for infection,
b. Assess the(vaging frequently for a prolapsed cord.
c. Monitor the client’'s{Dioog pressure every hour.
d. Assess the client's pain level,
’I
o
PageS/13
Complete A+ Exam Bank_ Latest Updated Summer 2026.
231, NUR 264 Exam 1 a Version &
NUR 230. NUR
changes that occur dur ng
L The nurse s preparing to teach a cient about Ihe =
pregnancy. Which of the following decreases 0f re ains unchanged?
a. Heart rale 5/)
Blood pressure. /) ’
—
C. Cardiac output o ’
d. Blood volume. v
The nurse has provided dietary teaching for a Dfeg”af“ client whoi has iron deficiency anemia { Whic
tive
of the following meal options selected by the client indicates thal teaching has been effec
Grilled steak, creamed spinach, and an apple.
o(@)
Baked chicken(breagt and macaroni salad.
Oatmeal, whole-wheat toast, and jelly.
an
Grilled cheese sandwich and tomato soup.
The nurse s caring for a client who is pregnant. The first day of the last
menstrual period (U','p: »:.'as
October 11. Using Naegele's rule, the nurse calculates the estimated date of delivery (EDD) to be
June 4.
July 4, v \%
A
a@lo
July 18, v
June 18,
The nurse is caring for a pregnant client who is recently diagnosed
with pica. Which of the following
(Hgb) levels should the nurse expect to find in the client’s chart?
a4
a. 37gdL >’
g al. =, oo
¢ 12gidL i
{0
d. 16gdL \
The nurse is caring for a client who is at 38 weeks and in a supine position
for a pelvic
examination. The client reports feeling dizzy and nauseated, and upon assessment
her skin feals
damp and cool. Which of the following actions should the nurse lake first?
Tum the client on her side.
apow
Elevale the client’s legs 20 degrees above her hips.
Take the client's(Blood pressure (BF).
Assess the client's respiratory rate (RR).
Page 2/13
, TEIN €94, NUR 254 Exam 1 a Version
a
Thr_
e "‘U S€ Is caring for a client who is a primigravida in her third trimester and is experiencing
ness of breath when walking up stairs. Which of the following statements by the nurse s
aAppr opnate?
& "You will feel much better once the baby Is born.”
/E) “This can be uncomfortable, try taking breaks and use good posture.”
“If you lie on your left side, it will relieve your shoriness of breath.”
0. ';CU should immediately report this difficulty breathing to your primary health care provider
(PHCP)."
The charge nurse is discussing probable signs of pregnancy with a newly hired nurse. Which findings
from the box below are probable signs of pregnancy?
[O/ Amenorrhea.
: 2. Braxton-Hicks contractions.
3. Hearing fetal(hean tones.
(4. Breast tenderness.
&
(¢S Positive pr ecr*a"c test.
) i, o 236
The nurse is caring for a pregnant client who is of Asian descent. Which of the following cultural
influences should the nurse consider first when providing nutritional care?
\(1,_) Food preferences and methods of preparation. fi 5@
b. The client's family and social support systems. u
c. Socioeconomic status of the client.
d. Weight gain so far in the pregnancy.
The nurse is talking 10 a client who is 18 weeks pregnant about preparing her 7-year-old daughter for
the new sibling. Which of the following recommendations is best for the nurse 1o make based on the
child’s age?
a “Wait to discuss the birth of the baby until your daughter asks about i.”
b. “Teach your daughter how to hold and talk to a baby using her lavorite doll.”
¢. “Use your pregnancy as a way to begin to discuss basic human sexuality.”
Co) “Tell your daughter the story of her own birth.”
g
:
Page 3/13
,NUR 230, NUR 231, NUR 254 Exam 1 a Version a
10 A nurse is teaching a client about symploms 1o report during her
pregnancy. Which of the following
statements by the client indicates a correct understanding of the
p teaching?
@ It I have any(vagingi(bleedin before 20 weeks, | should report it."
0. "Il report increased frequency olm dunng the third trimester.”
. “Iflfeel tired after resting, | should report it.”
d. “Iireport if | experience lower back pain during the third trimester.”
11, The nurse is caring for a client who is at 15 weeks gestation and
has an immune rubella titer. Which
of the following actions is appropriate for the nurse to take?
Convey to the client that she needs to wait until after delivery
to have an MMR vaccine.
XX -
Suggest that the client receive a rubella vaccine at
this visit,
Tell the client that she has immunity at this
time.
Plan to immunize the client when she reaches
the third trimester.
The nurse is teaching a client who is in the 10th week
of pregnancy about moming sickness. Which
of the following should the nurse include in the
teaching?
a. The degree of(nause) is linked to the mother's acceplance of
the pregnancy.
b. Drink a protein supplement first thing upon arising.
| 3 /]
<E) Alternate dry(carbohydrat} foods with fluids every
hour. \9? )
Increase the intake of protein in the evening meal
to help decrease nausea in the mom ng
13. The nurse is teaching a pregnant client about
possible complications of pregnancy. Which of
following client statements requires follow-up the
by the nurse?
@ "I will change my cat's litter box daily because
it could contain harmfu!.‘
0. "I will check my(Uring daily for any protein while at home."
€. “I'should call the clinic immadiately if | notice increa
sed edema in my ankles or feet.”
d. "I 'should notify my primary health care provide
r (PHCP) if | experience blurred vision.*
The nurse is collecting data from a client
who Is confirmed pragnant. The client
she had 1 pregnancy thal she delivered at tells the nurse that
38 weeks; 1 pregnancy she delivered at
wans; 1 pregnancy she delivered 34 weeks with
al 31 weeks; and 1 pregnancy she delive
the following is the correct way to document red at 18 weeks. Which of
the client's gravidity, term births, preterm
abortions, and living children (GTPAL)? births.
a ) G5, Tal, Pu2, Asl. Led.
D. Ge5, Tal, Pa2, Ael, La3, .. 2
o Ged, Tel, Pu3, Al L3, ~‘7§7—./ p A /
O Ged, Tal, P=2. A=1, L=4d 1
Page 4 /13
, g—
R 230, N
YUR 231, NUR 254 Exam 1 a Version a
The n :
wn
r © \UIse is caring for assigned clients. Which of the lollowing assessment findings should the nurse
eCognize as consistent with a client in the second stage of labor?
2 The(leludis at -1 statio
n.
b The membranes ruptured during a contraction. /,’5 O
o >
‘N The client has the urge o push.
2 The 18 being delivered.
o,
ent who received an epidural 10 minutes ago. The client now reports
rzintes naiatusd. idasissh a. After checking
The nurse is carin
the client's(blooyl pressure, which of the
o~
Ollowing actions should the nurse tako?
-
Q. Elevate the client's leel
Give the client an antiemetc.
Ambulate the client in the room.
d. Administer @
with a
The nurse is caring for a client who is in labor and has spontaneous rupture of membranes
of the following, if observed by the nurse, indicales CorC
arge amount of clear fluid noted. Which
compression?
a Late decelerahons.
@ Variable decelerations
c. Early decelerations
d. Fetal bradycargia.
techniques for
18 The nurse is preparing to teach a group of primipara clients about active relaxation
pain control. Which of the following statements by a chient requires follow-up by the nurse?
a. I will isten 10 an audio recording of a crying baby %o help relax me for labor."
b. “Relaxing uninvolved muscles during(utering contractions can help control the pain.”
/&y “Breathing siowly and deeply during contractions will help 10 conirol the pain.” -
¢ *I will plan to focus on an object in the room during contractions.”
18 The nurse is caring for a client whose membranes ruptured 8 hours ago. Which of the following
actions should the nurse take?
-
‘\J Check the client's temperature every 2 hours 10 assess for infection,
b. Assess the(vaging frequently for a prolapsed cord.
c. Monitor the client’'s{Dioog pressure every hour.
d. Assess the client's pain level,
’I
o
PageS/13
